RecruitingPhase 1NCT05885412

A Phase 1, Dose Escalation Trial of RP-A601 in Subjects With PKP2 Variant-Mediated Arrhythmogenic Cardiomyopathy (PKP2-ACM)

A Phase 1 Dose Escalation Trial Evaluating an Intravenously Administered Recombinant Adeno-Associated Virus Serotype rh.74 (AAVrh.74) Vector Containing the Human Plakophilin-2a (PKP2a) Coding Sequence (RP-A601; AAVrh.74-PKP2a) in Subjects With Arrhythmogenic Cardiomyopathy Arising From Pathogenic PKP2 Variants (PKP2-ACM)


Sponsor

Rocket Pharmaceuticals Inc.

Enrollment

9 participants

Start Date

Aug 29, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This Phase 1 dose escalation trial will assess the safety and preliminary efficacy of a single dose intravenous infusion of RP-A601 in high-risk adult patients with PKP2-ACM.


Eligibility

Min Age: 18 Years

Inclusion Criteria7

  • Male or female ≥18 years at the time of signing the informed consent
  • Capable and willing to provide signed informed consent
  • Clinical diagnosis of ACM as defined by the 2010 revised Task Force Criteria (TFC)
  • Documentation of a pathogenic or likely pathogenic truncating variant in PKP2
  • History of Implantable Cardioverter-Defibrillator (ICD) implantation ≥6 months prior to enrollment
  • PVC frequency ≥500 per 24 hours by ambulatory rhythm monitoring
  • Left ventricular ejection fraction by echocardiogram or CMR ≥50%

Exclusion Criteria5

  • Anti-AAVrh.74 capsid neutralizing antibody titer of \>1:40
  • Cardiomyopathy related to a genetic etiology other than PKP2 truncating variant
  • Previous participation in a study of gene transfer or gene editing
  • Severe Right ventricular (RV) dysfunction
  • New York Heart Association (NYHA) Class IV heart failure.

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Interventions

GENETICRP-A601

RP-A601 is a recombinant viral vector composed of an AAV serotype rh.74 (AAVrh.74) capsid encapsulating the transgene, human plakophilin 2 (PKP2), transcript variant 2a (PKP2a)


Locations(3)

University of California, San Diego

La Jolla, California, United States

Duke University

Durham, North Carolina, United States

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

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NCT05885412